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Emergency drugs and tx Flashcards

(52 cards)

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1
Q

Cardiac arrest

Unshockable rhythm

A

1mg adrenaline IV

Every 3-5mins

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2
Q

Narrow complex tachycardia

A

Vagal manoeuvre: carotid, valsalva
6mg adenosine + saline flush
12mg adenosine + saline flush

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3
Q

Bradycardia

A 
Atropine 500 micrograms IV
No response
\+ 500 microgram to 3mg max
Adrenaline 2-10 micrograms/ min
Transcutaneous pacing
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4
Q

Anaphylaxis

A

0.5mg adrenaline IM every 5 min
10mg chlorphenamine IV
200mg hydrocortisone IV
?IM glucagon 1mg on b blocker

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5
Q

AF/ atrial flutter

New onset

A 
Compromised: HR>150, HF, 
- DC cardiovert, 
- or metoprolol up to 5mg IV 
Uncomprimised
- bisoprolol 5-10mg PO
- Flecainide 2mg/kg IV
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6
Q

AF/ atrial flutter

Pre existing >48h

A 
Comprimised
- metoprolol 5mg over 5 min
- 500 micrograms digoxin IV
- amiodarone 300mg
Uncomprimised
- bisoprolol PO, 5-10mg 
- digoxin 500 microgram PO
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7
Q

VF/VT

A

1mg adrenaline IV (3-5)mins

300mg Amiodarone IV

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8
Q

STEMI

A 
GTN spray
300mg aspirin PO
5-10mg morphine IV
10mg Metoclopramide IV
PCI
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9
Q

NSTEMI

A 
GTN spray
300mg aspirin
300mg clopidogrel PO
2.5mg fondaparinux SC (eGFR>30)
Simvastatin 40mg ON
Bisoprolol PO (HR>70, BP>110)
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10
Q

Acute asthma

A 
Sit up + O2
5mg salbutamol nebs
0.5mg ipratropium nebs
40mg prednisolone
- or 100mg hydrocortisone IV
CXR- pneumothorax
Life threatening: 
- 1.2 to 2mg IV magnesium sulphate
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11
Q

P edema

A 
Sit up + O2
2.5 to 5mg diamorphine slow IV
40-80mg furosemide slow IV
GTN spray 
GTN infusion (BP>110)
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12
Q

Hypoglycaemia

A 
No swallow 
- 1mg glucagon IM
- 100ml 20% glucose IV
Swallow
- Hypostop
- 160ml, 10% glucose IV
Repeat BM 10mins
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13
Q

Status epilepticus

A 
Repeat every 10mins 
Lorazepam 2-4mg slow IV
Or
Buccal midazolam 10mg
Or
Rectal diazepam 10mg

Keppra 30mg/kg

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14
Q

Hyperkalaemie

Severe: >6.5 or symptomatic

A

Cardiac monitor
IV calcium gluconate 10%, 10ml over 2mins
10 units actrapid in 50ml 50% glucose over 15mins
20mg salbutamol nebs: resistant
? Sodium bicarbonate

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15
Q

Hyperkalaemia

Severe = x

A

Severe > 6.5

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16
Q

Adenosine

A

6,12,12mg fast IV, every 5 mins

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17
Q

Amiodarone infusion

A

300mg over 30mins

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18
Q

Atropine

A

Brady
- 0.5mg, every min, IV, max 3mg
Arrest
3mg once only IV

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19
Q

Calcium gluconate

A

10% in 10ml IV, over 2 mins, every 15 mins to max 50ml

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20
Q

Digoxin infusion

A

500micrograms in 30mins

Once only IV

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21
Q

Adrenaline

Study These Flashcards
A 
Anaphylaxis
- 0.5mg IM, 1:1000 0.5ml
- every 5min
Arrest
- 1mg IV: 1:10,000 10ml
- every 3min
22
Q

Morphine

Study These Flashcards
A

5mg IV every 5 mins

23
Q

Verapamil

Study These Flashcards
A

5mg in 2min, IV, every 5 min

15 MG max

24
Q

Aminophylline

Study These Flashcards
A

5mg/kg in 20min

Once IV

25
Furosemide
40-120mg once IV | Max 1mg/kg
26
GTN infusion
2-10mg/h if systolic >90 | Infusion IV
27
Hydrocortisone
100-200mg IV | QDS
28
Ipratropium
500 micrograms 4h, Neb
29
Magnesium
8mmol 1.2-2g over 20min Once IV
30
Salbutamol
5mg Neb, continuous
31
Glucose
10% 200ml 20% 100ml 50% 50ml
32
Diazepam
10mg, every 5 min IV/PR | 30mg max
33
Lorazepam
4mg every 5 min, IV | 12mg max
34
Naloxone
400microgram IV every 3 min | Aka 0.4mg
35
Phenytoin
15mg/kg at 50mg/min | Once IV infusion
36
Bleeding TXA
1g in 10min bolus | 1g TDS infusion over 8h
37
Loading kepra
20-30mg/kg | 60mg/kg (BRI: status)
38
Severe low Mg
< 0.5 or 0.6
39
Anticipatory drugs
``` Morphine 2.5mg SC 1h Midazolam 2.5-5mg SC Cyclizine 50mg SC 8h Levomepromazine 2.5-5mg SC 8h Haloperidol 500mcg SC 12h Buscopan 20mg SC 1h (max 120mg) ```
40
Hydrocortisone in sepsis
50mg QDS IV
41
Seizure Rectal diazepam Buffalo midazolam
10mg rectal diazepam | 10mg buccal midazolam
42
Midazolam IV sedation
O.5-2mg increments Initial: 2mg under 60 1mg over 60
43
IV Fentanyl dose Adult and child Spontaneous breathing
50-100mcg Max 200mcg 1-2 mcg/kg
44
Hypertonic saline
100ml of 5% NaCl over 10min
45
Sumatriptan | Used for and dose
Migraine or cluster headache 6mg SC 10-20mg IN
46
IV metoprolol for AF
5mg over 5 mins | IV metoprolol
47
Sodium bicarbonate IV | Uses and dose
Hyperkalaemia DKA pH<7 Tx 1.26% sodium bicarbonate 250ml over 2h
48
PE/DVT | Treatment dose LMWH
Fragmin (dalteparin) 200unit/kg SC eGFR<30 Enoxaparin 1mg/kg SC
49
Mannitol | For raised ICP
0.5g/kg over 15min | Place urinary catheter
50
Isoprenaline infusion
5mcg/minute
51
Adrenaline infusion
2-10mcg/min
52
Suggamadex dose
16mg/kg

Medicine (20 decks)

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